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DIVE CENTER PROPOSAL <br /> ADDITIONAL INSURED Page 1 of 1 <br /> Agent Information Agent Contact Information <br /> Vicencia&Buckley A Division of HUB International (714)739-3177 FAX (714)739-3188 <br /> Insurance Services (800)223-9998 <br /> 6 Centerpointe Drive,#350 www.diveinsurance.com <br /> La Palma,CA 90623-2538 diveboat@diveinsurance.com <br /> License#:151305 Policy Period:6/30/2016 thru 6/30/2017 12:01:00 AM <br /> Member#: 21778 <br /> Insured's Name and Mailing Address <br /> EVERGREEN DIVE SERVICE LLC <br /> 4610 EVERGREEN WAY,SUITE 1 <br /> EVERETT,WA, 98203 <br /> * CITY OF EVERETT <br /> * DIVER'S DREAM CHARTERS, PHILLIP JENSEN,558 KLAMATH DR., LA CONNER,WA 98257 <br /> * ODEGARD&BOSECK LLC (LANDLORD) <br /> * MWR ACTIVITY AND THE U.S. NAVY <br /> * SNOHOMISH AQUATIC CENTER <br /> * FORREST PARK <br />